16-year-old "C" was referred to an LCS Shared House placement with supporting keywork, as “medium risk”. Referral identified risks including inappropriate sexual behaviour, frequent missing episodes and hygiene issues, including bedwetting.
During referral, we used all existing risk assessments to inform our comprehensive review – and developed a risk management plan agreed with CSC and C. This live document was regularly reviewed/updated.
"C" was matched with experienced staff trained in CSE and extensive risk management. Addressing continence issues, we sourced a specialist, easy-clean bed, and supported "C" to access sexual health clinics to address STIs and improve sexual health, and specialist urology referrals.
As we got to know "C", additional risks emerged with higher complexities than initially reported to us. "C" associated with highly unsuitable groups – including known sex offenders and older men involved in grooming and drugs – putting "C" at increased coercion risk, and online exploitation. We responded immediately by:
- Implementing Multi Agency Risk Management (MARM) meetings – including police
- Holding daily meetings/calls with LA and social workers – reviewing risk logs and management of "C"’s safety
- Increasing "C"’s support – including specialist, targeted support, working to reduce missing episodes, encouraging them to ask for help, and emergency support protocols if ever they felt at risk
- Developing increasingly strong positive peer relationships within the house
- Supporting "C" to remove exploitive images from internet, teaching about internet safety, and implementing protective measures (including restricted/supervised use)
- Feeding into police intel forms daily, including reporting/sharing:
- CCTV images of visitors
- Checked/copied ID of associates
- Car/taxi registration plates
- Locations/times offenders were gathering
- Websites "C" had been exploited via, and bank statement evidence (accessed with their permission)
- Implemented Critical Incident reviews, ensuring:
- Ongoing safety of all residents and staff
- Learning was carried forward
- Ensured staff met daily – ensuring risk logs/contact sheets were updated and shared
- He held daily case discussions with LCS senior management, ensuring ongoing oversight/risk management
Working with police, we uncovered a network of serious offenders, resulting in large-scale police investigations and multiple arrests.
Police recommended "C"’s relocation out-of-borough. We supported this by:
- Working with "C" to overcome initial reluctance
- Collaborating with police to identify an appropriate placement
- Supporting the move, ensuring ongoing safety, and briefing new providers
- Ensuring referrals i.e. urology, were maintained and our work continued
"C" has contacted LCS, updating us on progress: They are happier, settled, working on self-care including healthy activities like swimming and horse-riding.
The shared house went into isolation due to Covid-19 risks. Ensuring ongoing young people’s wellbeing and risk mitigation:
- Three LCS staff entered lock-down too – providing ongoing support including fun and healthy activities
- Staff received daily virtual clinical supervisions with a therapist from our wider services
- We liaised regularly with mental health services to manage isolation-related risks
16-year-old "A"’s history included 22 placement breakdowns in the two years before referral to LCS. They frequently went missing, engaged in substance misuse and experienced sexual exploitation.
"B" was a 16-year-old nearing the end of a custodial sentence when referred to LCS. They had a history of abuse that resulted in racist behaviours and were involved in petty crimes, shoplifting and gang activity.
Mental Health Support
"D" was 16 when referred to LCS, having been hospitalised for 3 years with mental health issues, anorexia and self-harm. They had no sense of self-worth and was at high risk of death by misadventure.
"T" was 16 when they were referred to an LCS Shared House. They’d been in 20+ placements over the last few years. They had low self-esteem, was self-conscious and struggled with depression and intense emotional outbursts.
Post Support Approach
"G" had autism, learning disabilities, and required 24/7 support, with sleep-in night workers. The planned outcome was for LCS to prepare him for a semi-supported adult placement.
Preparation for Independence
"F" was referred to LCS and offered placement in a shared house after a kinship placement broke down. Their mother had substance misuse issues and their father and brother were in jail – with offences including armed robbery.
"H" had highly complex needs, a history including self-harm and repeated suicide attempts, historic sexual abuse, extreme attachment issues, high-risk sexual behaviours and grooming.